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A Study of Bempegaldesleukin (BEMPEG: NKTR-214) in Combination With Nivolumab in Children, Adolescents and Young Adults With Recurrent or Treatment-resistant Cancer
PIVOT IO 020
Phase 1/2 Study of Bempegaldesleukin in Combination With Nivolumab in Children, Adolescents, and Young Adults With Recurrent or Refractory Malignancies (PIVOT IO 020)
2 other identifiers
interventional
15
6 countries
18
Brief Summary
The purpose of this study is to first, in Part A, assess the safety, tolerability and drug levels of Bempegaldesleukin (BEMPEG) in combination with nivolumab and then, in Part B, to estimate the preliminary efficacy in children, adolescents and young adults with recurrent or treatment-resistant cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Jun 2021
18 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 26, 2021
CompletedFirst Posted
Study publicly available on registry
January 29, 2021
CompletedStudy Start
First participant enrolled
June 3, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 22, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
June 22, 2022
CompletedResults Posted
Study results publicly available
March 24, 2023
CompletedMarch 24, 2023
March 1, 2023
1.1 years
January 26, 2021
December 21, 2022
March 22, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (9)
Number of Participants With Dose-Limiting Toxicities (DLTs) - Part A
Number of participants with dose-limiting toxicities (DLTs). DLTs were collected and evaluated for Part A within the DLT evaluation period, which started on Cycle 1 Day 1 (first dose) and ended at Day 42 (42 days after first dose of the study therapy).
From first dose to 42 days after first dose
Number of Participants With Adverse Events (AEs) - Part A
Number of participants with adverse events (AEs). An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.
From first dose to 30 days after last dose (up to approximately 6 months)
Number of Participants With Serious Adverse Events (SAEs) - Part A
Number of participants with serious adverse events (SAEs). SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event.
From first dose to 30 days after last dose (up to approximately 6 months)
Number of Participants With Drug-Related Adverse Events - Part A
Number of participants with drug-related adverse events. An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.
From first dose to 30 days after last dose (up to approximately 6 months)
Number of Participants With Adverse Events Leading to Discontinuation - Part A
Number of participants with adverse events leading to discontinuation. An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.
From first dose to 30 days after last dose (up to approximately 6 months)
Number of Participants Who Died - Part A
Number of participants who died.
From first dose to 30 days after last dose (up to approximately 6 months)
Maximum Observed Plasma Concentration (Cmax) - Part A
Pharmacokinetics (PK) of bempegaldesleukin and nivolumab derived from serum concentration versus time data.
From first dose to 30 days after last dose (up to approximately 6 months)
Trough Observed Concentration (Ctrough) - Part A
Pharmacokinetics (PK) of bempegaldesleukin and nivolumab derived from serum concentration versus time data.
From first dose to 30 days after last dose (up to approximately 6 months)
Area Under the Plasma Concentration (AUC) - Part A
Pharmacokinetics (PK) of bempegaldesleukin and nivolumab derived from serum concentration versus time data.
From first dose to 30 days after last dose (up to approximately 6 months)
Study Arms (13)
A1W Dosing schema
EXPERIMENTALA1F Dosing schema
EXPERIMENTALA2W Dosing schema
EXPERIMENTALA2F Dosing schema
EXPERIMENTALPart B: Cohort B1 Neuroblastoma
EXPERIMENTALPart B: Cohort B2 Ewing sarcoma
EXPERIMENTALPart B: Cohort B3 Rhabdomyosarcoma
EXPERIMENTALPart B: Cohort B4 Miscellaneous solid tumors
EXPERIMENTALPart B: Cohort B5 NHL/leukemia
EXPERIMENTALPart B: Cohort B6 High-grade glioma
EXPERIMENTALPart B: Cohort B7 Medulloblastoma and Embryonal Tumors
EXPERIMENTALPart B: Cohort B8 Ependymoma
EXPERIMENTALPart B: Cohort B9 Miscellaneous brain tumors
EXPERIMENTALInterventions
Specified dose on specified days
Specified dose on specified days
Eligibility Criteria
You may qualify if:
- Age \< 18 years for Part A and Part B
- Age up to 30 years for Part B Cohorts B2, B3 and B4
- Must have received standard of care therapy and there must be no potentially curative treatment available
- Histologically confirmed with malignant neoplasms that are refractory, relapsed, or curative treatments are lacking
- Must have measurable or evaluable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 for solid tumors, Response Assessment in Neuro-Oncology (RANO) or Response Assessment in Pediatric Neuro-Oncology (RAPNO) for central nervous system tumors, International Pediatric Non-Hodgkin Lymphoma Response Criteria for non-Hodgkin lymphoma (NHL), revised International Neuroblastoma Response Criteria (INRC) for neuroblastoma, modified National Comprehensive Cancer Network (NCCN) Criteria for acute lymphoblastic leukemia, and modified Cheson et al International Working Group criteria for acute myeloid leukemia
- Lansky play score for age ≤ 16 years or Karnofsky performance score for age \> 16 years assessed within 2 weeks of enrollment must be ≥ 60
You may not qualify if:
- Osteosarcoma, T-cell/Natural Killer (NK) cell leukemia/lymphoma, and Hodgkin's lymphoma
- Need for \> 2 antihypertensive medications for management of hypertension (including diuretics)
- Known cardiovascular history, including unstable or deteriorating cardiac disease, within the previous 12 months prior to screening
- Inadequately treated adrenal insufficiency
- Active, known, or suspected autoimmune disease
- Active infection requiring systemic therapy within 14 days prior to first dose
- Condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days of start of study treatment
- Prior allogeneic stem cell transplant
- Previous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection either suspected or confirmed within 4 weeks prior to screening
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bristol-Myers Squibblead
- Nektar Therapeuticscollaborator
Study Sites (18)
Local Institution - 0029
Little Rock, Arkansas, 72202, United States
Local Institution - 0011
St Louis, Missouri, 63110, United States
Local Institution - 0001
Randwick, New South Wales, 2031, Australia
Local Institution
South Brisbane, Queensland, 4101, Australia
Local Institution - 0002
Parkville, Victoria, 3052, Australia
Local Institution - 0003
Perth, Western Australia, 6009, Australia
Local Institution - 0013
Villejuif, Val-de-Marne, 94805, France
Local Institution - 0014
Lyon, 69373 cedex 03, France
Local Institution - 0016
Marseille, 13385, France
Local Institution - 0015
Paris, 75005, France
Local Institution - 0038
Hamburg, 20246, Germany
Local Institution - 0039
Tübingen, 72076, Germany
Local Institution - 0037
Würzburg, 97080, Germany
Local Institution - 0027
Milan, 20133, Italy
Local Institution - 0009
Madrid, Madrid, Comunidad de, 28009, Spain
Local Institution - 0008
Barcelona, 08035, Spain
Local Institution - 0059
Seville, 41013, Spain
Local Institution - 0028
Valencia, 46026, Spain
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
On 14-Apr-2022, a joint decision was made to end the clinical development program for bempegaldesleukin in combination with nivolumab, resulting in the termination of this study. This results disclosure report provides analyses from CA045-020 Part A safety analyses only. Part B of the study (expansion phase) did not enroll any participants.
Results Point of Contact
- Title
- Bristol-Myers Squibb Study Director
- Organization
- Bristol-Myers Squibb
Study Officials
- STUDY DIRECTOR
Bristol-Myers Squibb
Bristol-Myers Squibb
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 26, 2021
First Posted
January 29, 2021
Study Start
June 3, 2021
Primary Completion
June 22, 2022
Study Completion
June 22, 2022
Last Updated
March 24, 2023
Results First Posted
March 24, 2023
Record last verified: 2023-03